Fovea-sparing premacular hemorrhage

Résumé fourni par la source

A 48-year-old female patient presented with blurred vision in her right eye. Best-corrected visual acuity was 20/20. She was diagnosed as retinal vasculitis with proliferative sequelae and underwent pan-retinal photocoagulation. Fundus imaging performed elsewhere 2 weeks ago revealed a ring-shaped pre-retinal hemorrhage [Fig. 1a]. Dilated fundus examination revealed resolving ring-shaped pre-retinal hemorrhage [Fig. 1b]. On fundus fluorescein angiography, retinal neovascularization was observed beneath the hemorrhage in the temporal macula [Fig. 1c and d]. Swept-source optical coherence tomography [Fig. 2] revealed persistent attachment of the posterior vitreous to foveola.[1]Figure 1: Fovea sparing premacular haemorrage 1(a,b). Fluorescein angiography showing neovascularisation beneath the haemorrage 1 (c,d)Figure 2: SDOCT showing attachment of vitreous to foveaSummary The attachment of the posterior vitreous to foveola is likely the reason for fovea sparing in this case. Declaration of patient consent The authors certify that they have obtained all appropriate patient consent forms. In the form, the patient(s) has/have given his/her/their consent for his/her/their images and other clinical information to be reported in the journal. The patients understand that their names and initials will not be published and due efforts will be made to conceal their identity, but anonymity cannot be guaranteed. Financial support and sponsorship Nil. Conflicts of interest There are no conflicts of interest.

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